Body-identical estrogen for hot flashes, night sweats and sleep in perimenopause and menopause, prescribed after a provider reviews your history.
Estradiol, the same estrogen your ovaries made, replacing some of what your body now produces less of.
Daily, in the form and dose your provider chooses for your history.
Women in perimenopause or menopause with hot flashes, night sweats, broken sleep or mood changes.
Hot flashes often ease within two to four weeks. The fuller effect takes about three months.
Your provider asks about your periods, breast and clotting history, blood pressure and migraines. Those answers decide which options are safe for you.
You start at the lowest dose likely to help. Breast tenderness or light spotting can happen while your body adjusts.
Your provider checks symptoms and side effects and adjusts the dose. If you have a uterus, progesterone is part of the plan from the start.
Hormone care is looked at again at least once a year, including whether it is still the right choice for you.
A licensed provider reviews your full history before prescribing anything. This is a summary, not the full prescribing information.
Boxed warning on estrogens. Estrogen taken without a progestogen raises the risk of cancer of the uterine lining in women who have a uterus. Estrogens, with or without progestogens, have been linked to a higher risk of stroke, blood clots, breast cancer and probable dementia in some groups, and should be used at the lowest effective dose for the shortest time consistent with your goals. Your provider weighs this against your own history.
FDA-approved estradiol products exist, and The Menopause Society recommends them over compounded hormones when they suit the patient. Your provider may prescribe an FDA-approved product, or a compounded preparation where there is a clinical reason, such as an ingredient allergy or a dose that is not made commercially. Compounded medications are prepared by state-licensed pharmacies and are not FDA-approved.
Your membership covers the provider visit, ongoing messaging and the medication where it is prescribed. No insurance needed, and you can cancel any time.
Estradiol$99/moExpected launch pricing. It can vary by state and pharmacy, and your final price is confirmed before you pay. Medication is included only where a provider prescribes it.
For many healthy women under 60, or within ten years of menopause, the benefits outweigh the risks. A history of breast cancer or blood clots changes that, which is why a provider reviews yours first.
If you have a uterus, yes. Progesterone protects the uterine lining.
Sometimes. In women over 45 with typical symptoms, the diagnosis is usually made from your history.
There is no fixed limit. You and your provider review it every year.
Hormones · from $99/mo
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Weight care · from $149/mo
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Read moreShown for illustration. Prescription only. A licensed provider decides whether treatment is right for you. Compounded medications are not FDA-approved. This page is general information, not medical advice, and reading it does not create a provider-patient relationship. If you are having a medical emergency, call 911.
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